Leeper, Jodi K

Leeper, Jodi K is an individual health care provider with primary practice located at 160 Heritage Way Ste 202 , Kalispell MT 59901-3127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Leeper, Jodi K can be contacted via phone (406) 752-8433.

Contact Information

Primary practice address
160 Heritage Way Ste 202 Kalispell MT 59901-3127
Fax: (406) 756-6768
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MED-PAC-LIC-58794 Montana

Profile Details

NPI number 1598747180
LBN Legal business name Leeper, Jodi K
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598747180 NPPES
Kansas MEDICAID 200430690A

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